A healthcare conversion foundation had established a clear commitment to advancing health equity and addressing social determinants of health. While stakeholders were aligned around the mission, significant questions remained regarding how the investment portfolio could support those objectives.

Trustees were interested in a range of approaches, including manager diversity, mission-related investments, catalytic capital, and place-based investing. The committee recognized that mission alignment exists along a spectrum and sought guidance on what level of integration was appropriate for the organization.

The foundation needed both education and an investment partner capable of translating broad aspirations into a practical, measurable investment framework.

• What role should investment capital play in advancing the mission?

• How should mission-related outcomes be measured?

• Which implementation approaches are most appropriate?

• How should governance evolve to support mission integration?

• Which firms have meaningful experience with health equity and impact investing?

• Facilitated discussions among board members and stakeholders

• Educated the committee on mission-aligned investment approaches

• Helped establish a framework for evaluating mission integration

• Assessed firms' experience with health equity and impact investing

• Evaluated impact measurement and reporting capabilities

• Led a structured investment advisor search process

• Guided finalist evaluation and partner selection

The engagement helped the foundation develop a shared understanding of mission-aligned investing and clarify how investment capital could support broader organizational objectives.

The foundation ultimately selected a partner capable of translating broad aspirations into a practical and measurable investment framework while supporting continued evolution over time.

• Health Equity
• Mission Investing
• Impact Measurement
• Governance Alignment